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Suggest Ways To Bring Down Blood Sugar Levels

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Posted on Mon, 3 Aug 2015
Question: I am a 51 year old woman. I am 5'6" talk and weigh 160. I had gestational diabetes when I was pregnant with my 16 year old daughter. It resolved itself after pregnancy and I've had no more problems until now. I bought a glucose meter Friday night. The reading was 379. I began eating right and it's been dropping but I can't get it below 200. I just took it again 2 hours after eating and it's 375. Can this wait until next week? Is it dangerous to the point that I need to go to the er?
doctor
Answered by Dr. Shehzad Topiwala (21 minutes later)
Brief Answer:
ER

Detailed Answer:
I am sorry to learn about this newly detected medical condition.

You definitely have developed diabetes, most likely type 2.

At the moment glucoses are quite high. They are high enough to warrant prompt medical care. ER is a good idea.

Once the urgent situation is under control and your glucoses are stable, you can work with your doctor to try and reverse the problem. There is a chance of this happening with appropriate lifestyle changes such as healthy eating, increased physical activity and weight loss (5 to 10%).

In the ER, they will likely run labs in addition to a thorough physical examination, to check if you have a complication of diabetes called DKA (Diabetic Keto Acidosis) or HHS (Hyperglycemic Hyperosmolar State):

CBC
CMP
HbA1c
Blood gas analysis
Serum Ketones
TSH
Urinalysis
ECG
X ray chest

It is quite possible Insulin injections will be required to lower your glucoses. Later it may be possible to wean you off it, by substituting the insulin with pills
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest Ways To Bring Down Blood Sugar Levels

Brief Answer: ER Detailed Answer: I am sorry to learn about this newly detected medical condition. You definitely have developed diabetes, most likely type 2. At the moment glucoses are quite high. They are high enough to warrant prompt medical care. ER is a good idea. Once the urgent situation is under control and your glucoses are stable, you can work with your doctor to try and reverse the problem. There is a chance of this happening with appropriate lifestyle changes such as healthy eating, increased physical activity and weight loss (5 to 10%). In the ER, they will likely run labs in addition to a thorough physical examination, to check if you have a complication of diabetes called DKA (Diabetic Keto Acidosis) or HHS (Hyperglycemic Hyperosmolar State): CBC CMP HbA1c Blood gas analysis Serum Ketones TSH Urinalysis ECG X ray chest It is quite possible Insulin injections will be required to lower your glucoses. Later it may be possible to wean you off it, by substituting the insulin with pills